go rumors that the october 25 questionnaire will include an item on decriminalizing or legalizing marijuana. as stanislavsky would say: “i don’t believe!”. although everything can be expected from ze-power. they are young politicians, both in age and in experience. whatever the child is amused, so to speak. but the thing is that behind the speculation about the healing properties of cannabis for the seriously ill looms a completely different goal: to commercialize this market for the absolutely healthy. and patients, for example, with advanced cancer, will continue to suffer because of the imperfect system for obtaining narcotic painkillers. especially in the context of the coronavirus. but nobody talks about it.
the mother of my close friend was diagnosed with pancreatic cancer. it happened back in the spring, on the eve of the quarantine. the cheerful elderly woman suddenly turned yellow sharply, could not eat anything and immediately passed. thought it was cholecystitis, gallstones, and prepared for an operation to remove it. but the examination showed the second stage of pancreatic cancer. the outflow of bile, the doctors established with the help of expensive imported stents and told to raise money for the removal of the tumor.
while they were borrowing money from friends-relatives and taking numerous tests, quarantine broke out. the hospital was closed and the operation was not performed on time. and when the quarantine was over, a new examination showed the fourth stage of cancer with extensive metastases. the loss of time was disastrous: the operation was no longer considered expedient. prescribed chemistry.
each dropper costs an average of uah 10 thousand. already made 10 drips, but the situation only got worse. my friend's mom is now on injectable morphines. she began, like many of her sisters and brothers in misfortune, with over-the-counter paracetamols, ibuprofen, aspirins, etc. very soon they stopped helping. from the word "absolutely". then switched to tramadol. and now on injections.
to obtain tramadol, not to mention morphine, the poor woman had to go through all the stages of expensive examination and confirmation of the diagnosis, which can be compared with the confirmation of disability. and only after that, the attending surgeon decided that in order to reduce the sensitivity of pain receptors in her, frankly, hopeless situation, a drug containing a drug could be prescribed.
thanks to the surgeon for not beginning to talk about how addiction will affect a 65-year-old woman, whether the dosage will harm her gastrointestinal tract and whether it will cause gastric bleeding, for which he will have to be responsible. some of his colleagues are hesitant. and vocalize their doubts aloud, while patients writhe in unbearable agony right in front of their eyes. but this one turned out to be human. the goal was achieved, and my friend learned what the process of obtaining a prescription for opioid drugs in ukrainian is.
this means that no one will come home to stab an exhausted patient. and even more so will not deal with his "pain points". if he cannot walk on his own or send relatives for medicines, let him go to the hospice. or commits suicide from unbearable pain. simply friends or neighbors by proxy do not give "drugs"
dante has such an immortal creation - "the divine comedy" and in it is a guide to the nine circles of hell, which few people have read except literary scholars and humanists. this is a guide to torture for carriers of harmful ideas: voluptuousness, gluttony, greed, anger, laziness, hereticism, violence and murder (along with gluttony), etc.
my friend does not suffer from any of the listed sins, but the domestic system of obtaining painkillers for cancer patients doomed her to go through all the circles of hell at the same time during her lifetime.
first you need to go to your family doctor. today this is the only category of doctors who have benefited from the reform of ulyana suprun. their salaries are high. by ukrainian standards - "already zanadto": 15-20 thousand uah. despite the fact that a nurse who works by the sweat of her brow in a polyclinic, sometimes carrying the main physical load, receives a beggarly 4 thousand hryvnyas.
this means that no one will come home to inject an exhausted patient. and even more so will not deal with his "pain points". if he cannot walk on his own or send relatives for medicines, let him go to the hospice. or commits suicide from unbearable pain. just friends or neighbors by proxy do not give "drugs".
the family doctor weekly (at least and not more often) prescribes the drug to the patient. the patient or his close relative fills out the reception table every day and describes his feelings. this table is pasted into the card. if it is not brought (forgot, twisted, filled in the wrong way), a new portion of the drug will not be given.
with a referral from a family doctor from one polyclinic, you need to go to another - to the nurses and the surgeon, they give a prescription to a special pharmacy. there it is possible to get accountable medicines if everything is clearly written in the prescription, not blurry, not forwarded, etc.
but tired nurses with a salary of 4 thousand uah. are sloppy. and surgeons who are jealous of high-paid "family members" are indifferent. my friend had to go through the circles of hell again several times because there were blots in the recipe.
each stage is a long queue in which seriously ill people tired of life swear. some are driven by illness, others by harm, others by despair. it's about my girlfriend. recently, despair has become her normal state, because in the reformed suprun medicine, in addition to queues, difficulties with electronic registration and communication problems with doctors and nurses, another one has been outlined - coronavirus.
he confidently mows down the medical staff of hospitals and clinics. and increases the number of patients in the queue. a friend comes - her family doctor is sick. to whom to go is not clear. her tantrum is of no interest to the receptionist. there is no replacement and is unknown.
by some incredible effort, she gets to another family doctor, sits in a long live queue, he refuses her because she is not registered by electronic record (and this must be done in a week). she walks in a circle until she gets to a young doctor, who, according to him, is here temporarily, and he signs all the papers for her and sends her to the next level of the quest.
under the guise of medical indications, we are breaking through the legalization of cannabis, decriminalization of the use of marijuana, etc. so that you could "puff", and for this there was no threat of any punishment. clearly not the issue that is now of paramount importance. drug addicts have already received their "pills" thanks to pressure from europe
she comes to polyclinic # 2 - but she was simply quarantined. there is a lock and an announcement on the doors. and no one cares that such a thing as skipping an injection at the 4th stage of pancreatic cancer with liver metastases cannot be a priori. and there is no way out, and there is no solution to the problem either. and you need to have time to go to work (10 thousand hryvny droppers have to be paid out of pocket).
why does it not occur to anyone in the leadership of our medicine to simplify the system described above, to make it more gentle for those dying in agony? do not burden the sick or their already exhausted relatives. to give a patient with a similar diagnosis some kind of special ticket (preferably electronic) for accountable drugs, and let him receive his standard dose of relief without weekly torture with prescriptions. after all, a person with such a diagnosis will certainly not sell painkillers.
but what is curious: my friend, who is busy with her mother, often observed colorful characters in the corridors of the polyclinic with obvious signs of former or current drug addiction. they behave much more relaxed than everyone else. and often very impudent.
indeed, unlike cancer patients who are cared for by their relatives, they are under the patronage of the european union, the european court of human rights, numerous foundations and grant structures, where they have already been explained that their craving for drugs is not a bad habit, but a serious illness. and the state is obliged to help them cure it. for this, the poor fellows receive so-called substitution therapy according to special programs. and since getting into these programs is not so easy and, most importantly, not cheap, even secular characters come for “regime drugs”, in sharp contrast to the typical inhabitants of polyclinic corridors.
so the question of whether we need to legalize something else for medical purposes sounds silly. the population was not asked whether it was possible to give substitution therapy to drug addicts. and did not hold a referendum on whether to prescribe drugs containing drugs for such diagnoses as cancer, etc.
it is a matter of medicine, science, government regulation, etc. if the ministry of health and other relevant authorities decide that tetrahydrocannabinol (thc) and cannabidiol (cbd) help with epilepsy, as advocates of the legalization of marijuana claim, then who is stopping them from including them on the list of strictly regulated drugs and giving them to those in need? the way it is done for cancer.
another thing is that under the guise of medical indications, we are breaking through the legalization of cannabis, decriminalization of the use of marijuana, etc. so that you could "puff", and for this there was no threat of any punishment. clearly not the issue that is now of paramount importance. drug addicts have already received their "pills" thanks to the pressure of europe. if only to change the torture system for cancer patients, and the problem will be less.
perhaps it is better to ask the population whether it wants to continue living in the conditions of the medical reform of the primary organization named after the suprunas, or is it worth returning to the traditional, improved system? but we are unlikely to be asked about this ...